NPI | 1851649115 |
---|---|
Former Name | MICHELLE J. ENGELHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005755) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015939-1) |
363A00000X Physician Assistant | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2020-06-14 |